Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12459 | Date 16/12/2024 |
| Token No | SM/24-25/20207 16/12/2024 | Serial | 002 |
| Patient Name | Mr. BIJAY KUMAR PRASAD | Contact No | 8100375531 |
| Address | 13 DEY STREET | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||